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Michael S Burgoon Dc Pc
Chiropractor in Roanoke, Virginia
NPI 1770668550

Michael S Burgoon Dc Pc is a Chiropractor based in Roanoke, VA. Michael S Burgoon Dc Pc practices in Roanoke, VA. The NPI Number for Michael S Burgoon Dc Pc is 1770668550 and holds a License No. 0104001967 (Virginia).

The current practice location address for Michael S Burgoon Dc Pc is 2302 Colonial Ave Sw, Roanoke, VA and can be reached out via phone at 540-343-6636 and via fax at 540-343-6670.

Location: 2302 Colonial Ave Sw, Roanoke, VA, 24015
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770668550
Provider Name
Michael S Burgoon Dc Pc
Credential
Provider Entity Type
Organization
Address
2302 Colonial Ave Sw, Roanoke, VA, 24015
Phone Number
540-343-6636
Fax Number
540-343-6670
Provider Enumeration Date
10/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
292833 01 VA ANTHEM
P00008229 01 PALMETTO MEDICARE
institution
Provider Business Practice Location Address Details
Address
2302 Colonial Ave Sw
City
Roanoke
State
Virginia
Zip
24015
Phone Number
540-343-6636
Fax Number
540-343-6670
person
Provider Business Mailing Address Details
Address
2302 Colonial Ave Sw
City
Roanoke
State
Virginia
Zip
24015
Phone Number
540-343-6636
Fax Number
540-343-6670
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
0104001967 (Virginia)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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